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If the average American woman enters menopause around age 52, and if perimenopause can begin as early as age 35 when hormonal changes are first noticeable, then we have a 10 to 17 year period when a woman is considerably vulnerable to the effects of hormone changes. These changes are often overlooked until symptoms demand attention.
For women at midlife, the interplay between two primary female hormones, estrogen and progesterone, often becomes important. As a woman approaches menopause, and as long as 10 to 15 years before menopause onset, hormone levels begin to shift. Understanding this shift and managing it with natural substances can mean the difference between health and illness. Some women display early menopause even with regular periods. In these women, night sweats can interfere with sleep and cause fatigue.
If a woman has estrogen levels that are too high and progesterone levels that are too low, she may be prone to anxiety, panic, and hyperactivity. If her estrogen is too low, she may be subject to depression. Estrogen-dominance (too much estrogen in relation to progesterone) and estrogen-deficiency (too little) can both be a problem easily resolved with hormone replacement. Indicators include irregular menstrual bleeding, severe mood swings, and episodes of anxiety or depression. Hormone testing, replacement or treatment for elevated levels as necessary during this time can make life much more enjoyable.
Treatment & Prevention Treatment with natural hormones have at times resulted in dramatic improvements.
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Signs, symptoms & indicators of Perimenopausal Issues:
Conditions that suggest Perimenopausal Issues:
Recommendations and treatments for Perimenopausal Issues: |  |  |  | | Action | Book Reading | Several good books are available on this subject that will help anyone identify and understand female hormonal problems. In hardback there is Natural Hormone Balance for Women by Uzzi Reiss, M.D. and in paperback, What Your Doctor May Not Tell You About Premenopause by John R. Lee, M.D., Hanley and Hopkins. |
| Diet |
Soy Isoflavones (genistein, daidzein) | A randomized double-blind placebo controlled clinical trial (the "gold standard" study design) has shown that the isoflavones in soy appear to protect menopausal women from bone loss just as powerfully as hormone replacement therapy, but without the side-effects [Nutrition Reviews 61 (2003): pp.346]. In other words, drinking the equivalent of about 2 cups of soymilk each day, women can go through menopause with strong bones, and without the cancer, heart disease, a stroke or two and blood clots in the lung. And, using soymilk instead of Premarin (now known to increase risk of these conditions), your smoothies won't taste like urine! |
| Lab Tests/Rule-Outs |
Test for Hormones | Vitamins |
Vitamin Paba |
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KEY |  | Strong or generally accepted link |  |  | Proven definite or direct link |  |  | Very strongly or absolutely counter-indicative |  |  | Likely to help |  |  | Highly recommended |
GLOSSARY
Anxiety Apprehension of danger, or dread, accompanied by nervous restlessness, tension, increased heart rate, and shortness of breath unrelated to a clearly identifiable stimulus.
Cancer Refers to the various types of malignant neoplasms that contain cells growing out of control and invading adjacent tissues, which may metastasize to distant tissues.
Cup (Cups) A unit of volume measurement equal to 8 fluid oz, or roughly 250ml. It also equals 1/2 pint, 1/4 quart and 1/16 gallon.
Estrogen (Oestrogen) One of the female sex hormones produced by the ovaries.
Hormones (Hormone) Chemical substances secreted by a variety of body organs that are carried by the bloodstream and usually influence cells some distance from the source of production. Hormones signal certain enzymes to perform their functions and, in this way, regulate such body functions as blood sugar levels, insulin levels, the menstrual cycle, and growth. These can be prescription, over-the-counter, synthetic or natural agents. Examples include adrenal hormones such as corticosteroids and aldosterone; glucagon, growth hormone, insulin, testosterone, estrogens, progestins, progesterone, DHEA, melatonin, and thyroid hormones such as thyroxine and calcitonin.
Lung (Lungs, Pulmonary) Organ of the body, located in the chest cavity which is designed to bring oxygen from the air into the blood stream, while also expelling carbon dioxide and other waste gases out of the body. Pulmonary: Related to the lungs.
Menopause (Menopausal) The cessation of menstruation (usually not official until 12 months have passed without periods), occurring at the average age of 52. As commonly used, the word denotes the time of a woman's life, usually between the ages of 45 and 54, when periods cease and any symptoms of low estrogen levels persist, including hot flashes, insomnia, anxiety, mood swings, loss of libido and vaginal dryness. When these early menopausal symptoms subside, a woman becomes postmenopausal.
Menstruation (Menses, Menstrual, Menstrual Cycle, Menstrual Cycles, Menstrual Flow, Menstrual Phase, Monthly Cycle) The periodic discharge of blood, tissue fluid and mucus from the endometrium (lining of the uterus) that usually lasts from 3 - 5 days. It is caused by a sudden reduction in estrogens and progesterone.
Para Aminobenzoic Acid (PABA) May be considered part of the B-complex vitamins. As a coenzyme, PABA functions in the breakdown and utilization of proteins and in the formation of red blood cells.
Perimenopause (Perimenopausal) A transition time during which menstrual periods can become irregular and symptoms of menopause may be experienced prior to menopause. On average, the onset of perimenopause occurs around age 47 and the average duration is 4-5 years. It is increasingly seen in women even up to 12-15 years before menopause. An array of physical, mental and emotional symptoms can occur during this time.
Placebo (Placebos) A pharmacologically inactive substance. Often used to compare clinical responses against the effects of pharmacologically active substances in experiments.
Premenopause (Premenopausal) The period when women of childbearing age experience relatively normal reproductive function (including regular periods).
Progesterone This is the hormone secreted after ovulation by the corpus luteum. It is a steroid (similar to a cholesterol), enters receptive cells to stimulate their growth, and acts as an anabolic agent. Estrogen should be viewed as the primary coat underneath all the cycles during a woman's reproductive years, with progesterone, its antagonist, surging for ten or twelve days in ovulatory months. Most of the actions of progesterone cannot occur without estrogen having previously induced the growth of progesterone-receptive binding sites.
Stroke (Stroke-Type Event) A sudden loss of brain function caused by a blockage or rupture of a blood vessel that supplies the brain, characterized by loss of muscular control, complete or partial loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. The most common manifestation is some degree of paralysis, but small strokes may occur without symptoms. Usually caused by arteriosclerosis, it often results in brain damage.
Last updated: Apr 13, 2008
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